Active NPI
James Beck Jr., COTA/L
- Occupational Therapy Assistant
- Phoenix, AZ
National Provider Identifier
1013442912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 6949
- Practice address
- 4227 N 27TH Ave
Apt. 2035
Phoenix, AZ 85017-5904 - Phone
- (510) 789-7932
- NPI assigned
- Apr 28, 2017
- Last updated
- Apr 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 6949 | AZ | Primary |
Addresses
Primary practice location
4227 N 27TH Ave
Apt. 2035
Phoenix, AZ 85017-5904
Mailing address
4227 N 27TH Ave
Apt. 2035
Phoenix, AZ 85017-5904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6949 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1013442912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4227 N 27TH AVE",
"address_2": "APT. 2035",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850175904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4227 N 27TH AVE",
"address_2": "APT. 2035",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850175904",
"telephone_number": "510-789-7932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "JAMES",
"name_suffix": "Jr.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-28",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AZ",
"license": "6949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.